Abstract
Anterior endoscopic approaches witnessed many modifications over the years in an attempt to achieve adequate neuroforaminal decompression without excessive damage to the anatomical structures such as the disc, uncovertebral joint, and vertebral endplate. All these modifications have been faithfully attempted while evading the risk of segmental collapse and the need for interbody fusion. Anterior endoscopic cervical foraminotomy and discectomy represents a minimally invasive approach that can potentially preserve the intervertebral disc and thus the functional motion segment. This technique yields overall excellent results in selected patients with unilateral cervical radiculopathy; thus, patients typically experience immediate postoperative neck mobility and do not need to wear a cervical collar.
Reproduced with permission from Kabil MS, Abdel-ghany W. Microendoscopic anterior cervical foraminotomy: a preliminary series of 76 cases. Egyptian Journal of Neurosurgery 2020;35:1–11.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Abbreviations
- AECDF:
-
Anterior endoscopic cervical discectomy and foraminotomy
- CT:
-
Computed tomography
- DOC:
-
Disc-osteophyte complex
- MRI:
-
Magnetic resonance imaging
- UP:
-
Uncinate process
- VA:
-
Vertebral artery
- VAS:
-
Visual analogue score
References
Terai H, Suzuki A, Toyoda H, Yasuda H, Kaneda K, Katsutani H, et al. Tandem keyhole foraminotomy in the treatment of cervical radiculopathy: retrospective review of 35 cases. J Orthop Surg Res. 2014;9:1–6.
Grieve JP, Kitchen ND, Moore AJ, Marsh HT. Results of posterior cervical foraminotomy for treatment of cervical spondylitic radiculopathy. Br J Neurosurg. 2000;14:40–3.
Lentell G, Kruse M, Chock B, Wilson K, Iwamoto M, Martin R. Dimensions of the cervical neural foramina in resting and retracted positions using magnetic resonance imaging. J Orthop Sports Phys Ther. 2002;32:380–90.
Choi G, Lee S-H, Bhanot A, Chae YS, Jung B, Lee S. Modified transcorporeal anterior cervical microforaminotomy for cervical radiculopathy: a technical note and early results. Eur Spine J. 2007;16:1387–93.
Jho H-D. Microsurgical anterior cervical foraminotomy for radiculopathy: a new approach to cervical disc herniation. J Neurosurg. 1996;84:155–60.
Foley KT. Microendoscopic discectomy. Techniques Neurosurg. 1997;3:301–7.
Saringer WF, Reddy B, Nöbauer-Huhmann I, Regatschnig R, Reddy M, Tschabitscher M, et al. Endoscopic anterior cervical foraminotomy for unilateral radiculopathy: anatomical morphometric analysis and preliminary clinical experience. J Neurosurg Spine. 2003;98:171–80.
Storm PB, Chou D, Tamargo RJ. Surgical management of cervical and lumbosacral radiculopathies: indications and outcomes. Phys Med Rehabil Clin N Am. 2002;13:735–59.
Saal JS, Saal JA, Yurth EF. Nonoperative management of herniated cervical intervertebral disc with radiculopathy. Spine. 1996;21:1877–83.
Kabil MS, Abdel-ghany W. Microendoscopic anterior cervical foraminotomy: a preliminary series of 76 cases. Egypt J Neurosurg. 2020;35:1–11.
Song Z, Zhang Z, Hao J, Shen J, Zhou N, Xu S, et al. Microsurgery or open cervical foraminotomy for cervical radiculopathy? A systematic review. Int Orthop. 2016;40:1335–43.
Jho H-D, Kim W-K, Kim M-H. Anterior microforaminotomy for treatment of cervical radiculopathy: part 1—disc-preserving “functional cervical disc surgery.”. Neurosurgery. 2002;51:S2–46.
Robinson R, Smith G. Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull Johns Hopkins Hosp. 1955;96:223–4.
Cloward RB. The anterior approach for removal of ruptured cervical disks. J Neurosurg. 1958;15:602–14.
Minamide A, Yoshida M, Yamada H, Nakagawa Y, et al. Clinical outcomes of microendoscopic decompression surgery for cervical myelopathy. Eur Spine J. 2010;19:487–93.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Kabil, M.S., El Sayed, H.E., Elkholy, M.A.E., Hassan, M.M.H.M. (2023). Anterior Endoscopic Cervical Foraminotomy and Discectomy. In: Lui, T.H. (eds) Endoscopy of the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-19-7761-9_6
Download citation
DOI: https://doi.org/10.1007/978-981-19-7761-9_6
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-7760-2
Online ISBN: 978-981-19-7761-9
eBook Packages: MedicineMedicine (R0)